节点文献
青少年抑郁症的认知行为治疗研究
【作者】 黄晓琦；
【导师】 郭兰婷；
【作者基本信息】 四川大学 ， 精神病学和精神卫生学， 2005， 博士
【摘要】 青少年抑郁症是一种临床常见的精神障碍,严重危害青少年的身心健康,影响青少年的学习以及以后的成就,加重家庭负担,导致成年后各种精神卫生问题的高发,是一个重要的公共卫生问题。有效的治疗不仅缓解患者的痛苦,减轻家庭的负担,还有重要的卫生经济学意义。药物治疗和心理治疗都是目前公认的有效治疗手段。认知行为治疗(CBT)又是诸多的心理治疗流派中,被研究者对多,效果最为确切的治疗手段。大型随机对照研究证明认知行为治疗用于青少年抑郁症患者与药物治疗的效果相当。目前的循证医学认为认知行为治疗与药物治疗的联合方案可以带来最大的临床收益。故有必要制定一套适用于中国青少年抑郁症患者的认知行为治疗方案。 目的: 制定一套适合于青少年抑郁症患者的CBT治疗方案,并在临床实践中验证其疗效。 方法: 1.根据国外已有的认知行为治疗手册,结合中国青少年抑郁症的特点制定一套用于中国青少年抑郁症的CBT治疗模式手册。 2.根据手册进行临床对照试验,与药物对比认知行为治疗和药物治疗的效果。 3.对接受认知行为治疗的患者进行案例分析总结。
【Abstract】 Depression in adolescents is a common mental disorder seen in the clinics. It can impair the psychosocial wellbeing of adolescents, influence their academic achievement and increase the family burden. It is also a major risk for various psychopathologies in adulthood. Psychotherapy and pharmacotherapy both had been proved effective in the treatment of adolescent depression. Cognitive-behavior therapy (CBT) is the best provided psychotherapy for the treatment of it with a comparable effect with pharmacological treatment. And evidence based medicine had recommended the combining usage of the two treatments. Now there is an urgent need to establish a treatment manual for using in the treatment of adolescents depression in China.PurposeTo establish a treatment manual for the treatment of adolescent depression in China and prove its effect in the clinical use.Method1. With the help of foreign manual and consideration of characteristics of Chinese depression adolescents, a treatment manual for the treatment of adolescent depression in China is established.2. Clinical control test is formed to test the effect of manual.3. A cases analyze of the adolescent patients who received the CBT treatment.Result1. A multimodular and several stage treatment manual for the treatment of Chinese depressive adolescents is established with objectives as oriented.2. 66.7% of the adolescent depression patients who received the CBT treatment is recovered.3. Analyze of patients who receive CBT result three models of requirements.Conclusion1. The treatment manual in this research is fitted with the characteristics of the adolescent depression in China, and it is proved useful in the clinical work.2. In the CBT treatment of adolescent depression, the patients can be classified to three requirement models which should be treated with different focus.